New Life Medical Center

LBN: Axis Medical Management Goup Sc
New Life Medical Center is an health care organization with primary practice located at 4111 W 26Th St Suite 110, Chicago IL 60623-4313. The organization recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as the primary health care specialty. Axis Medical Management Goup Sc can be contacted via phone (773) 542-1111, or through Struwe, Jan via phone (773) 542-1111.

Contact Information

Primary practice address
4111 W 26Th St Suite 110 Chicago IL 60623-4313
Phone: (773) 542-1111
Fax: (773) 542-7100
Website:
Map and Directions
Authorized official contact:
Name: Struwe, Jan
Phone: (773) 542-1111

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X 042.618397038.010225 Illinois

Profile Details

NPI number 1932221397
LBN Legal business name Axis Medical Management Goup Sc
DBA Doing business as New Life Medical Center
Authorized official Struwe, Jan
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2007
Last updated Apr 25th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932221397 NPPES
Illinois Other 1634898 BLUE CROSS BLUE SHIELD ID

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